The Invisible Wound: Moral Injury in Physical Therapy

WEBVTT

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You're listening to the PT Pinecast,

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where smart people in healthcare come to

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make noise.

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Here's your host, Jimmy McKay.

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Thanks, Radio Voice Guy.

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I do want to say thanks to Empower

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EMR.

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everybody's wondering that right now.

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touching forever.

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maybe even more than the text app on

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your phone if you're a clinician and

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you're using an EMR or you're a clinic

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owner.

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And I know...

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You're thinking, change EMRs.

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Man,

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people will white-knuckle one that they

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really know they don't like before

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switching because it's hard.

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It's not easy.

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It's hard.

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I get it.

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Empower gets it too.

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Go kick the tires.

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They'll walk you through not only what

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they can do,

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but what a transition might look like.

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Understand that.

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EmpowerEMR.com.

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EmpowerEMR.com.

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We're doing more CSM pre-promote.

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This is the hype machine.

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I will give a public service announcement

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for everybody who's got a significant

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other.

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Plan what you're doing for your

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significant other for Valentine's Day now

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because CSM crosses Valentine's Day.

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I say this from personal previous

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experience.

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You don't want to rush that.

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So that's a public service announcement.

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Lisa, Kristen,

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welcome to my public service announcement.

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Welcome to the show.

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Thank you.

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All right.

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I put the word out.

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If you got something going on at CSM,

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I describe CSM for first timers or fifty

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timers.

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It is a circus with eighteen circuses

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going on at the same time.

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It's a big top with a bunch of

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big tops all at the same time.

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I do find it ironic that we call

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it combined sections meeting.

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We come together and then we split up.

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But I digress.

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But you don't have to.

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So I said, if you're talking at CSM,

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let's do a movie trailer.

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So good on you guys.

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How many times have you guys been on

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the stage,

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on a big stage at CSM for you

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guys?

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What's your CSM experience?

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This will be my first time talking at

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CSM.

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I have talked multiple times for the Ohio

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Physical Therapy Association.

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But yeah,

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this will be my first time for CSM.

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Love it.

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Love it.

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Good for you.

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Kristen?

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I have previously presented once,

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but I actually have three presentations

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this year.

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So I'm going to be busy running around.

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I don't know how many times I presented

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at CSM, but I do know this statistic.

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I have written zero proposals.

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I'm the guy that always gets brought in.

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I'm like, I will show up.

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I will do my thing.

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But writing the proposal like nine months

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ahead of time,

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Jimmy's brain don't brain like that.

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So good on you guys for actually taking

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the initiative and follow through.

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And just really quickly for context for

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the audience,

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Lisa, Kristen,

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what's your sort of superhero origin

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stories?

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What do you get to do in this

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pretty cool profession of ours?

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So my origin story is I've actually been

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a physical therapist.

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I'm not going to say how long.

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But I pretty much worked in every single

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setting except PEDS.

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But as the OPTA,

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one of the OPTA directors,

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I actually –

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have the SIG for peds.

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So I'm learning about peds as I go

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too.

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So it's kind of funny how that all

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works out.

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I currently work as a regional director of

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clinical services for common spirit

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health.

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It is, um, they have hospitals,

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they have the skilled nursing facilities.

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Um,

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I'm in the home health and hospice arena.

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So I help, um,

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home health and hospices with their

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clinical and quality.

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Good for you.

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Thank you for doing that work.

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And Kristen, how about you?

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Yeah, so I'm also in Ohio.

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My story is I went through PT school,

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did sports residency,

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worked in athletic departments for about

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ten years,

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so I popped out to outpatient ortho.

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Volunteer wise,

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I also am a director with Lisa for

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the Ohio Physical Therapy Association,

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and I work with the Academy of Leadership

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and Innovation.

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I am their education chair and also LAMP

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leadership.

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And in addition to that,

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I'm actually delegate for the Academy of

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Sports.

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So busy touching a lot of different

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things.

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I guess kind of the genesis of this

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talk really came from a little bit of

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LAMP,

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but also what we experienced and what

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we're really interested in exploring

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within the state of Ohio is moral injury.

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All right.

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So this is really we understand in twenty,

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thirty minutes, whatever,

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how much we talk.

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We can't give you all of it.

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Just not possible, right?

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Can't put ten pounds of awesome in a

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five-pound bag.

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This is meant to give people enough tease

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and some tactical information to go, hey,

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if I'm going to be on site, again,

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eighteen circuses inside a circus,

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picking what to do each sort of time

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slot is simple but not easy.

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And more than a few times not to

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knock any speaker.

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I've walked into a thing thinking

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something from the description and being

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like, oh, this isn't it.

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where we if we can give people sort

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of that uncomfortable we always love when

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you're in the middle of a presentation

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someone opens the door in the back and

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you're like what we want to be able

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to give people to be able to peek

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around the corner a little bit at you

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know what is this going to be how

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will it make their life or education or

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career better and then of course where

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when they can see it so you know

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this is your movie trailer what i i

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think i even said in text messages like

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i don't even know what moral injury is

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like and then what is this so let's

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start there what is it and why does

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it deserve some time on the big stage

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Sure.

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I guess I will start with what we're

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exploring is the invisible wound.

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So moral injury is something that you

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can't visibly see.

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Right.

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And it is also not a mental health

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condition.

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It is an ethical burden that we've

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experienced.

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And we're looking at it specific to health

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care providers in COVID.

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and how we responded and or recovered from

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that.

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So Lisa comes from a very ethical side.

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So Lisa,

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do you want to explain kind of the

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difference between ethics and morals and

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how this is an ethical burden in the

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various realms?

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Yeah.

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So, you know, moral, you know, moral,

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the moral part of it is actually,

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you know, kind of your center, your base,

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you know,

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what is what is right and wrong.

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And then and that can be influenced by,

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you know, how you grew up.

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You know,

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there's many different things on what what

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morality looks like.

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But then you have the ethics piece where

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you're looking at.

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the different realms of how does it impact

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a person as an individual,

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how does it impact the organization,

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and then society as a whole.

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And, you know, we saw that with COVID.

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You know, we've heard stories,

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and that's one of the things that we're

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going to do within CSM, too,

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is to be a conversation.

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And we did this at Ohio Spring Conference

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last year,

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And it led to some really good

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conversations about how it impacted people

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individually.

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Also, what their organization was doing.

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And I could share stories about, you know,

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we had to furlough patients.

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We had to furlough, you know,

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employees in home health.

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And what did that look like?

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And then also the society implications.

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You know,

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there was implications related to not

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having PPE and everything.

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just the different laws and regulations

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and the different things that came out of

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it and how we had to all adapt

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very quickly.

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And I know Kristen and I talk,

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I always say I'm a stuffer.

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I don't share my emotions usually very

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much.

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And so a lot of people stuffed their

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emotions and just moved and went through

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the experience of the pandemic and never

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really reflected on it and how it had

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impacted them.

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Just you saying PPE, I didn't really,

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I mean, I remember it,

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but also I was like, oh yeah,

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we were like,

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where do I get masks and hoarding masks?

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And how do we,

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what's the different grades of masks?

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Everybody,

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they went from being a Supreme Court

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Senate expert to being a PPE expert to

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being an infectious disease expert.

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Everybody got,

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a lot of people got PhDs in twenty

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twenty.

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In topics they did no education in.

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Thinking back on that,

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that was a wild time.

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That was only six years ago.

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Yeah.

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And I don't think we have fully processed

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what we went through as healthcare

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providers.

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We literally, once we got the green light,

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it was focused on productivity and making

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up the money the organizations lost during

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that period of time.

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So healthcare providers have never

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really...

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talked about the trauma they've gone

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through or grieved the process that

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they've been through.

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I gave the same similar talk out in

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the state of Washington in October.

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And Washington was the state with the

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first kind of noted person with a positive

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COVID test.

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And they also received all the passengers

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on the cruise ship that was left out

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on the coast.

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So their experience was very different

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than what we experienced in Ohio.

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and talking about the scarcity of

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resources that early and how do they

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triage and figure out what's going on with

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their materials, with their staff,

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the fear that the staff had that they're

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going to make themselves sick and bring

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that home and make perhaps their children,

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their family,

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their older adults sick as well.

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I mean,

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it was just a time where healthcare

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providers were kind of shoved into this

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hero status and

00:09:38.466 --> 00:09:40.168
It's just like, what just happened?

00:09:40.369 --> 00:09:42.192
Can we really even process this and unpack

00:09:42.211 --> 00:09:42.393
this?

00:09:42.613 --> 00:09:43.975
Because I do think this is a part

00:09:44.014 --> 00:09:45.618
of what this burnout,

00:09:45.638 --> 00:09:48.081
what we're experiencing in the provider

00:09:48.101 --> 00:09:48.581
shortage.

00:09:48.863 --> 00:09:50.164
This is definitely a part of it that

00:09:50.205 --> 00:09:51.868
we haven't really fully examined.

00:09:52.355 --> 00:09:52.754
Yeah.

00:09:52.794 --> 00:09:53.495
So you guys don't know,

00:09:53.855 --> 00:09:55.115
there's no question list, right?

00:09:55.456 --> 00:09:56.456
So I'm gonna go off the cuff.

00:09:56.476 --> 00:09:57.937
I'm gonna ask you like an unfair,

00:09:58.038 --> 00:09:58.778
unprepared question.

00:09:59.077 --> 00:09:59.859
What if someone's like,

00:10:00.198 --> 00:10:01.899
it sounds like you're talking about just

00:10:02.039 --> 00:10:03.821
feelings and touchy feely things and how

00:10:03.980 --> 00:10:05.341
this feel like you're talking about,

00:10:05.841 --> 00:10:07.342
you know, all these things.

00:10:08.163 --> 00:10:09.764
why does that matter hey man i'm here

00:10:09.784 --> 00:10:11.485
to do this this feels like you're talking

00:10:11.525 --> 00:10:13.768
about stuff that you know moral injury

00:10:13.788 --> 00:10:15.970
like okay move on suck it up if

00:10:16.029 --> 00:10:17.371
someone's saying that what would you say

00:10:17.392 --> 00:10:19.693
to them how does this translate so i'll

00:10:19.734 --> 00:10:22.255
say in a different way too my uh

00:10:22.557 --> 00:10:24.077
professor in pt school gave me the

00:10:24.097 --> 00:10:24.658
greatest

00:10:25.833 --> 00:10:27.274
paradigm to think about research or

00:10:27.315 --> 00:10:30.136
anything what so what now what right so

00:10:30.177 --> 00:10:31.638
the what we can talk about but like

00:10:31.738 --> 00:10:34.500
so what it sucks it's unfair but now

00:10:34.700 --> 00:10:36.140
so how would you like push back or

00:10:36.201 --> 00:10:38.182
say to someone who's like I'm scrolling

00:10:38.201 --> 00:10:40.504
through I don't need this why why do

00:10:40.524 --> 00:10:42.125
they and they might not know it or

00:10:42.184 --> 00:10:43.666
not see it clearly

00:10:47.009 --> 00:10:47.970
One of the big things,

00:10:48.250 --> 00:10:50.791
we're going to talk about the history of

00:10:50.831 --> 00:10:50.910
it.

00:10:50.951 --> 00:10:52.432
We're going to have some of that

00:10:52.491 --> 00:10:53.111
conversation.

00:10:53.153 --> 00:10:54.513
But a lot of it is also going

00:10:54.552 --> 00:10:57.394
to be interventions and what people can

00:10:57.455 --> 00:10:57.894
do,

00:10:58.054 --> 00:10:59.735
the post-traumatic growth and the

00:10:59.775 --> 00:11:02.697
different strategies that there are to

00:11:02.738 --> 00:11:05.019
help you as you work through these things.

00:11:05.178 --> 00:11:06.059
And one of the big...

00:11:06.960 --> 00:11:08.701
reasons that we're doing it is for

00:11:08.721 --> 00:11:10.302
sustainability of the profession,

00:11:10.363 --> 00:11:12.225
because I can tell you one of the

00:11:12.264 --> 00:11:13.566
examples is we had,

00:11:14.206 --> 00:11:17.548
I had at least two PTAs that left

00:11:17.749 --> 00:11:18.289
home health.

00:11:18.450 --> 00:11:20.731
One went to, she also owned a bar.

00:11:20.851 --> 00:11:23.153
So she went to be the bartender and

00:11:23.193 --> 00:11:24.054
just worked that.

00:11:24.134 --> 00:11:26.576
And then we had another one that went

00:11:26.677 --> 00:11:28.677
to be the church secretary because they

00:11:28.717 --> 00:11:31.100
just couldn't handle the strain of it.

00:11:32.081 --> 00:11:35.083
And that's not to say that running a

00:11:35.144 --> 00:11:37.687
bar or running a church isn't stressful.

00:11:38.506 --> 00:11:39.607
And I'm an amateur.

00:11:40.889 --> 00:11:44.932
But it feels like the juice versus squeeze

00:11:44.972 --> 00:11:45.533
ratio is...

00:11:46.807 --> 00:11:47.788
was more clear.

00:11:48.828 --> 00:11:49.990
May or may not be better,

00:11:50.029 --> 00:11:52.052
but when I can clearly understand it,

00:11:52.131 --> 00:11:53.153
if I do these five things,

00:11:53.212 --> 00:11:55.394
I get this, versus if I do this,

00:11:55.455 --> 00:11:56.456
I don't know what I'm getting,

00:11:56.655 --> 00:11:59.138
or I keep doing more of this and

00:11:59.177 --> 00:12:01.019
getting the same or less of this,

00:12:01.600 --> 00:12:02.541
that makes me feel...

00:12:05.082 --> 00:12:06.224
burnout cheated.

00:12:06.764 --> 00:12:07.684
I'm not going to take it.

00:12:07.745 --> 00:12:08.065
I'm out.

00:12:08.625 --> 00:12:08.804
Right.

00:12:08.825 --> 00:12:10.765
So you just get just told two examples

00:12:10.806 --> 00:12:12.788
of like, yes, I'm a smart person.

00:12:12.827 --> 00:12:13.628
I'm doing the math.

00:12:13.768 --> 00:12:15.469
I keep doing this and feeling like this.

00:12:16.129 --> 00:12:17.691
I'm going to do not this anymore.

00:12:17.831 --> 00:12:18.931
I will do anything else,

00:12:18.990 --> 00:12:19.951
but you'll make less money,

00:12:20.991 --> 00:12:22.753
but it's a better juice versus squeeze

00:12:22.793 --> 00:12:23.173
ratio.

00:12:23.274 --> 00:12:24.634
Even if I'm getting less juice,

00:12:25.174 --> 00:12:27.235
I'm giving less squeeze.

00:12:27.596 --> 00:12:29.037
And the problem is the human is the

00:12:29.076 --> 00:12:30.898
thing getting squeezed.

00:12:31.359 --> 00:12:31.979
Exactly.

00:12:32.644 --> 00:12:34.065
And I would think to push back to

00:12:34.125 --> 00:12:35.946
somebody that feels this way,

00:12:36.186 --> 00:12:39.206
this term actually has its roots in the

00:12:39.226 --> 00:12:39.907
military.

00:12:40.587 --> 00:12:41.148
Which term?

00:12:41.168 --> 00:12:41.748
Moral injury?

00:12:41.827 --> 00:12:42.427
Moral injury.

00:12:42.888 --> 00:12:43.489
Oh, okay.

00:12:43.528 --> 00:12:45.708
The biggest, baddest dudes on the planet,

00:12:45.889 --> 00:12:47.990
they suffer from this, right?

00:12:48.090 --> 00:12:51.211
So to say that people in healthcare,

00:12:51.291 --> 00:12:52.251
I mean, more recently,

00:12:52.272 --> 00:12:54.351
the terminology has been moved to be more

00:12:54.392 --> 00:12:56.393
inclusive of people in public service.

00:12:56.942 --> 00:12:58.244
but my goodness,

00:12:58.323 --> 00:13:00.004
I would think you need a reality check

00:13:00.044 --> 00:13:01.647
if you're pushing back that hard on it

00:13:01.667 --> 00:13:05.269
and not willing to explore what has been

00:13:05.289 --> 00:13:05.929
going on.

00:13:06.591 --> 00:13:08.572
And it's, it's, it's involving.

00:13:08.631 --> 00:13:09.352
So, you know,

00:13:09.413 --> 00:13:11.394
you look at the works of, you know,

00:13:11.413 --> 00:13:13.796
you had Janet Bessner on earlier and then

00:13:13.875 --> 00:13:14.657
Nancy Kirsch.

00:13:14.677 --> 00:13:15.376
Like we,

00:13:15.498 --> 00:13:17.158
we talk about moral injury in terms of

00:13:17.198 --> 00:13:20.081
productivity and what it's doing to folks

00:13:20.260 --> 00:13:22.342
and the administrative burden and

00:13:22.711 --> 00:13:24.152
You know, it's been all over the place.

00:13:24.172 --> 00:13:26.812
We look at kind of even the sociopolitical

00:13:27.673 --> 00:13:29.113
moral injury that people have been

00:13:29.673 --> 00:13:30.553
enduring as well.

00:13:30.614 --> 00:13:32.975
So this term, while it feels touchy,

00:13:33.195 --> 00:13:33.514
I mean,

00:13:33.914 --> 00:13:35.475
you really got to dig deep and get

00:13:35.495 --> 00:13:37.635
to that root cause of maybe why you're

00:13:37.655 --> 00:13:38.817
feeling the way you're feeling.

00:13:38.856 --> 00:13:40.336
A lot of people can't put a term

00:13:40.417 --> 00:13:43.258
to, like, I just feel, you know,

00:13:43.337 --> 00:13:45.158
like there's no joy left in what it

00:13:45.239 --> 00:13:45.798
is that I do.

00:13:45.818 --> 00:13:47.120
And I have shame around some of the

00:13:47.159 --> 00:13:49.480
decisions and I feel betrayed or I witness

00:13:49.539 --> 00:13:50.900
things I'm not okay with.

00:13:51.424 --> 00:13:54.408
that's what moral injury really is.

00:13:54.467 --> 00:13:56.909
Now I feel like you could do something

00:13:56.970 --> 00:13:58.071
like say, all right, well,

00:13:58.110 --> 00:13:59.812
how does this affect the clinician?

00:14:00.212 --> 00:14:03.054
Will they leave or they stay and they

00:14:03.095 --> 00:14:03.436
hate it?

00:14:03.456 --> 00:14:04.557
Yeah.

00:14:04.616 --> 00:14:05.738
And then how does that affect them at

00:14:05.758 --> 00:14:05.977
home?

00:14:06.097 --> 00:14:06.258
Right.

00:14:06.278 --> 00:14:08.539
So that's one thing they stay and they

00:14:08.580 --> 00:14:08.919
hate it.

00:14:09.019 --> 00:14:10.201
What does that do to everybody around

00:14:10.241 --> 00:14:10.442
them?

00:14:11.162 --> 00:14:12.504
What does that do to their patients?

00:14:13.024 --> 00:14:14.445
What is their leaving due to their

00:14:14.485 --> 00:14:15.005
patients?

00:14:15.566 --> 00:14:16.947
What is their leaving or staying due to

00:14:16.966 --> 00:14:18.589
the profession or the business or

00:14:19.539 --> 00:14:21.360
What is due to patients short term,

00:14:21.421 --> 00:14:21.980
long term?

00:14:22.020 --> 00:14:23.900
Like this is big, tall, short,

00:14:23.961 --> 00:14:26.402
long term all around.

00:14:26.481 --> 00:14:28.543
So there's your now what?

00:14:28.842 --> 00:14:29.123
What?

00:14:29.182 --> 00:14:29.543
So what?

00:14:29.623 --> 00:14:30.563
There's your now what?

00:14:30.783 --> 00:14:31.524
It's not one thing.

00:14:31.604 --> 00:14:32.845
It's not just what happened to the

00:14:32.865 --> 00:14:34.365
clinician.

00:14:34.565 --> 00:14:35.785
These things are not in isolation.

00:14:35.806 --> 00:14:35.966
No, no.

00:14:35.985 --> 00:14:37.385
And these are rare.

00:14:37.586 --> 00:14:41.147
Like moral injury is technically a rare

00:14:41.167 --> 00:14:41.427
event.

00:14:41.447 --> 00:14:43.107
We just...

00:14:45.308 --> 00:14:49.052
We got hit again and again and again

00:14:49.072 --> 00:14:49.413
and again,

00:14:49.493 --> 00:14:52.216
and we never recovered and stood back up

00:14:52.296 --> 00:14:52.716
fully.

00:14:53.797 --> 00:14:56.980
We're still half activated and going this

00:14:57.019 --> 00:14:57.701
fight or flight.

00:14:58.120 --> 00:15:01.244
So yeah, it's time to talk about it,

00:15:01.264 --> 00:15:01.725
I think.

00:15:02.380 --> 00:15:03.562
I heard someone explain this to me in

00:15:03.581 --> 00:15:04.863
twenty twenty who was a Ph.D.

00:15:04.982 --> 00:15:08.125
researcher and they said this so calmly

00:15:08.605 --> 00:15:09.846
and I remember like it took me a

00:15:09.886 --> 00:15:10.727
minute to process.

00:15:10.748 --> 00:15:11.067
They said,

00:15:11.347 --> 00:15:14.169
you do realize that someone will do their

00:15:14.230 --> 00:15:17.192
entire career in research on this event

00:15:17.373 --> 00:15:18.793
like this going forward.

00:15:18.833 --> 00:15:20.375
They will now this is what they will

00:15:20.394 --> 00:15:22.236
be studying their whole life.

00:15:23.600 --> 00:15:25.203
and a small part of it likely, right?

00:15:25.224 --> 00:15:27.287
Like this person will study this for a

00:15:27.346 --> 00:15:27.888
long time.

00:15:27.908 --> 00:15:29.070
And I remember being like, no,

00:15:29.090 --> 00:15:30.491
this will be done in a few months.

00:15:30.692 --> 00:15:31.854
And then it took me a half a

00:15:31.894 --> 00:15:34.057
beat to be like, oh,

00:15:34.357 --> 00:15:36.441
this will not be done in a long,

00:15:36.480 --> 00:15:37.001
long time.

00:15:37.998 --> 00:15:38.738
You can look at something like,

00:15:39.158 --> 00:15:39.879
I grew up in New York.

00:15:39.918 --> 00:15:41.200
My dad was a New York City fireman.

00:15:42.181 --> 00:15:42.280
So,

00:15:42.341 --> 00:15:44.902
nine-eleven is obviously different to me

00:15:44.961 --> 00:15:46.263
than it was to my dad,

00:15:46.302 --> 00:15:47.323
than it was to my neighbor,

00:15:47.344 --> 00:15:48.705
than it was to someone in Texas or

00:15:48.745 --> 00:15:49.865
Washington or Japan.

00:15:49.884 --> 00:15:51.566
It still affects everybody,

00:15:51.605 --> 00:15:53.626
but what are the million different ways?

00:15:54.288 --> 00:15:56.009
It's a little more clear,

00:15:56.109 --> 00:15:56.668
I won't say easier,

00:15:56.708 --> 00:15:58.831
but more clear to see that and a

00:15:58.850 --> 00:16:00.511
little less clear to see what you're

00:16:00.552 --> 00:16:01.131
talking about there,

00:16:01.152 --> 00:16:02.192
but it's still there when you look.

00:16:02.212 --> 00:16:02.513
Oh, yeah.

00:16:02.753 --> 00:16:05.894
And it hits people in a different...

00:16:06.570 --> 00:16:08.471
Levels like those of us in the outpatient

00:16:08.510 --> 00:16:08.791
world,

00:16:08.831 --> 00:16:10.691
we did not have the same experience of

00:16:10.750 --> 00:16:13.032
people in acute or in the ICU.

00:16:13.091 --> 00:16:13.552
I mean,

00:16:14.831 --> 00:16:17.052
we even had in our course in Ohio,

00:16:17.113 --> 00:16:18.673
there was a girl that was like,

00:16:19.234 --> 00:16:21.293
I can't even go buy this room anymore.

00:16:22.173 --> 00:16:25.294
Like PTSD, I had patients dying there.

00:16:25.315 --> 00:16:27.216
I had people who didn't have family

00:16:27.235 --> 00:16:28.716
members and I had to be in there

00:16:28.755 --> 00:16:31.057
with them and with masks and I'm

00:16:31.136 --> 00:16:32.037
dehumanized.

00:16:32.096 --> 00:16:32.856
I've, you know,

00:16:32.917 --> 00:16:34.658
my entire identity is hidden.

00:16:35.159 --> 00:16:36.681
and we've lost that little touch of

00:16:36.741 --> 00:16:37.261
humanity.

00:16:37.302 --> 00:16:37.662
I mean,

00:16:37.682 --> 00:16:39.524
think about how that breaks the soul of

00:16:39.563 --> 00:16:40.284
the provider.

00:16:40.904 --> 00:16:42.767
So we actually use a lot of clips.

00:16:42.807 --> 00:16:44.469
Lisa found these awesome clips from The

00:16:44.548 --> 00:16:46.650
Pit, if you guys have watched that.

00:16:47.291 --> 00:16:50.374
And it's those flashbacks that some people

00:16:50.573 --> 00:16:53.996
have experienced in these really intense

00:16:54.017 --> 00:16:55.538
traumatic moments.

00:16:56.019 --> 00:16:58.061
So we will be giving some clips in

00:16:58.081 --> 00:17:01.283
the presentation as well at CSM.

00:17:01.740 --> 00:17:03.363
So you're going full multimedia, Lisa.

00:17:03.562 --> 00:17:05.184
Maybe you don't have to give the clips

00:17:05.224 --> 00:17:05.546
away,

00:17:05.605 --> 00:17:07.788
but what about the clips made you say,

00:17:07.929 --> 00:17:08.229
yes,

00:17:08.288 --> 00:17:09.871
this illustrates my point really well?

00:17:10.685 --> 00:17:13.366
So one is of Noah Wiley.

00:17:13.926 --> 00:17:14.407
Actually,

00:17:15.288 --> 00:17:20.130
his mentor actually died during COVID.

00:17:20.690 --> 00:17:21.670
In the show?

00:17:21.690 --> 00:17:22.510
You mean I haven't seen the show?

00:17:22.550 --> 00:17:23.570
Yes, in the show.

00:17:23.631 --> 00:17:23.891
Yes.

00:17:24.211 --> 00:17:27.173
And so he actually has flashbacks to that.

00:17:27.252 --> 00:17:28.712
And being in the room,

00:17:28.893 --> 00:17:31.074
when he's with a different patient and

00:17:31.114 --> 00:17:34.855
he's in the room and how that impacts

00:17:34.915 --> 00:17:35.435
him and just...

00:17:35.996 --> 00:17:38.157
watching his emotional reaction and him

00:17:38.198 --> 00:17:39.778
having to step out and what that looks

00:17:39.838 --> 00:17:41.420
like, it just shows,

00:17:42.101 --> 00:17:44.262
as Kristen said earlier,

00:17:44.303 --> 00:17:46.003
that invisible wound,

00:17:46.144 --> 00:17:48.086
and he's still trying to hide it from

00:17:48.145 --> 00:17:48.465
people.

00:17:49.446 --> 00:17:51.048
And so just seeing that impact.

00:17:51.087 --> 00:17:52.588
And then there's another clip about a

00:17:52.648 --> 00:17:54.711
whole conversation related to masks.

00:17:55.090 --> 00:17:57.311
you know, and wearing masks and, you know,

00:17:57.551 --> 00:18:00.253
and how, you know, how that impacted too,

00:18:00.273 --> 00:18:00.534
you know,

00:18:00.574 --> 00:18:02.694
because you had a lot of variable

00:18:02.914 --> 00:18:04.155
variation and, you know,

00:18:04.195 --> 00:18:06.116
people that wanted to wear masks and not

00:18:06.457 --> 00:18:08.238
wear masks and, you know,

00:18:08.458 --> 00:18:11.480
and always thinking about how I always,

00:18:11.779 --> 00:18:13.641
as a leader talked about,

00:18:13.760 --> 00:18:16.442
it was called a novel coronavirus for a

00:18:16.482 --> 00:18:17.682
reason, because it was new.

00:18:17.762 --> 00:18:18.923
It was new to all of us.

00:18:18.963 --> 00:18:19.785
And we were learning,

00:18:20.404 --> 00:18:21.846
we were learning as we went.

00:18:22.506 --> 00:18:25.227
on how to deal with it.

00:18:27.407 --> 00:18:28.808
We're building a plane in the air.

00:18:32.770 --> 00:18:33.131
Absolutely, yeah.

00:18:33.310 --> 00:18:34.872
And then you have these new grads who

00:18:34.892 --> 00:18:36.132
are coming out and they're like,

00:18:36.172 --> 00:18:37.432
am I going to get a job?

00:18:38.613 --> 00:18:40.054
Do I really want to do this?

00:18:40.473 --> 00:18:42.755
Sure, which is a valid question to ask.

00:18:43.194 --> 00:18:43.536
Yeah,

00:18:43.556 --> 00:18:45.076
are they going to finish their clinicals

00:18:45.135 --> 00:18:45.737
in time?

00:18:45.817 --> 00:18:46.176
You know,

00:18:46.237 --> 00:18:48.877
will CAPTI adjust their requirements?

00:18:48.897 --> 00:18:50.778
You have educators who are saying...

00:18:51.721 --> 00:18:52.080
you know,

00:18:52.340 --> 00:18:54.442
I'm sending my students out into the

00:18:54.482 --> 00:18:55.863
field, but I don't wanna go out there.

00:18:56.584 --> 00:18:58.244
And then you have folks who feel that

00:18:58.585 --> 00:19:00.506
tug of, you know, I am a PT,

00:19:00.605 --> 00:19:01.247
I can treat,

00:19:01.267 --> 00:19:03.768
but I'm safe at home doing Zoom classes.

00:19:03.788 --> 00:19:05.628
And then there's just the human component,

00:19:05.808 --> 00:19:07.509
because we're juggling more than just our

00:19:07.529 --> 00:19:08.851
professional identity, right?

00:19:08.871 --> 00:19:10.051
So just, I mean,

00:19:10.612 --> 00:19:12.913
it touched everybody at a very different

00:19:13.354 --> 00:19:13.794
level.

00:19:14.914 --> 00:19:15.714
We have to regroup.

00:19:16.115 --> 00:19:17.936
We have to strengthen ourselves and

00:19:17.977 --> 00:19:18.297
recover.

00:19:19.284 --> 00:19:21.306
And this is for people who maybe haven't

00:19:21.326 --> 00:19:24.367
been to CSM before or maybe just didn't

00:19:24.387 --> 00:19:25.348
understand the structure.

00:19:26.609 --> 00:19:28.551
I mentioned being it's combined sections

00:19:28.592 --> 00:19:29.232
meeting, right?

00:19:29.413 --> 00:19:31.334
People just call it CSM and I call

00:19:31.354 --> 00:19:32.615
it CSM without actually knowing what the

00:19:32.635 --> 00:19:34.037
heck the C, the S, the M meant.

00:19:34.737 --> 00:19:36.358
This falls under the Academy of Leadership

00:19:36.378 --> 00:19:39.561
and Innovation, which you do work with.

00:19:39.922 --> 00:19:42.763
Maybe give them a little nod because they

00:19:42.804 --> 00:19:45.366
can't green light a thousand

00:19:45.406 --> 00:19:46.086
presentations.

00:19:46.106 --> 00:19:46.607
They have to.

00:19:47.288 --> 00:19:49.288
hear the pitches and then select a few

00:19:49.368 --> 00:19:51.390
just because of time and space uh so

00:19:51.410 --> 00:19:52.931
give or not explain to people what the

00:19:52.990 --> 00:19:54.571
academy of leadership and innovation is

00:19:55.011 --> 00:19:57.173
the academy of orthopedics it's pretty

00:19:57.192 --> 00:19:59.453
straightforward geriatrics pediatrics got

00:19:59.473 --> 00:20:01.655
it got it got it ali is a

00:20:01.736 --> 00:20:03.215
little different uh what how do you

00:20:03.236 --> 00:20:04.257
describe it um so i mean that's a

00:20:04.277 --> 00:20:05.538
really great question we are kind of the

00:20:05.557 --> 00:20:05.678
group

00:20:15.068 --> 00:20:17.450
where the topics are bigger than just PT

00:20:17.490 --> 00:20:18.289
in general.

00:20:18.789 --> 00:20:20.131
So we've got global health.

00:20:20.250 --> 00:20:22.030
We've got population health.

00:20:22.050 --> 00:20:23.632
We have PT Proud.

00:20:23.672 --> 00:20:26.172
We have environmental catalyst groups.

00:20:26.192 --> 00:20:27.113
We have tech SIGs.

00:20:27.133 --> 00:20:28.573
We have leadership,

00:20:29.373 --> 00:20:31.933
disability justice and anti-ableism,

00:20:32.994 --> 00:20:34.095
PT and mental health,

00:20:34.115 --> 00:20:35.795
which obviously this is a part of that

00:20:35.875 --> 00:20:36.276
as well.

00:20:37.516 --> 00:20:38.736
I'll throw something out.

00:20:38.756 --> 00:20:40.376
The label might not sound good,

00:20:41.057 --> 00:20:43.337
but we all have one and we never

00:20:43.458 --> 00:20:44.018
ordered one.

00:20:44.983 --> 00:20:45.804
It's the junk drawer.

00:20:45.824 --> 00:20:46.125
Yeah.

00:20:46.184 --> 00:20:50.365
Well, we don't want to call it that.

00:20:50.625 --> 00:20:50.885
No, no, no.

00:20:50.905 --> 00:20:52.067
But what I mean is it's funny we

00:20:52.106 --> 00:20:52.846
call it that,

00:20:53.666 --> 00:20:55.208
except that's the stuff we're like, oh,

00:20:55.248 --> 00:20:56.087
I can't let that go.

00:20:56.528 --> 00:20:57.449
That's valuable.

00:20:57.528 --> 00:20:59.028
Ironically, we call it a junk drawer,

00:20:59.549 --> 00:21:01.269
but it's a treasure chest because you

00:21:01.309 --> 00:21:01.990
can't let it go.

00:21:02.411 --> 00:21:02.891
But you're like,

00:21:02.931 --> 00:21:03.951
I don't know where to put this,

00:21:03.971 --> 00:21:04.932
so I put it in this drawer.

00:21:04.951 --> 00:21:05.692
Yes.

00:21:08.477 --> 00:21:10.738
yes junk drawer is not a great tag

00:21:10.778 --> 00:21:12.478
but it's a great it's a great emotion

00:21:12.498 --> 00:21:14.417
because it's where all it's the island of

00:21:14.458 --> 00:21:17.239
misfit toys and that sounds bad too except

00:21:17.259 --> 00:21:19.058
if you watch the claymation movie that's

00:21:19.078 --> 00:21:20.339
where all the that's where all the heroes

00:21:20.380 --> 00:21:24.160
were yeah this is where the magic happens

00:21:24.180 --> 00:21:25.200
that's where the magic happens right it

00:21:25.220 --> 00:21:26.701
doesn't make sense until it makes sense

00:21:26.721 --> 00:21:29.121
yeah these are the change makers these are

00:21:29.141 --> 00:21:30.141
the people that kind of push into

00:21:30.161 --> 00:21:32.761
initiatives and see them through to the

00:21:32.781 --> 00:21:33.261
end and

00:21:33.734 --> 00:21:34.596
You know,

00:21:34.675 --> 00:21:36.818
even this week I had someone from India

00:21:36.898 --> 00:21:38.320
reach out and wanted to collaborate with

00:21:38.340 --> 00:21:40.503
the environmental PT group.

00:21:40.544 --> 00:21:43.548
So, I mean, the span is quite large,

00:21:43.627 --> 00:21:44.930
but we're still a smaller,

00:21:45.069 --> 00:21:46.111
lesser known academy.

00:21:46.151 --> 00:21:47.452
But yes,

00:21:47.732 --> 00:21:49.454
our topics are bigger than just patient

00:21:49.496 --> 00:21:50.175
care and PT.

00:21:50.356 --> 00:21:51.278
That's your superpower.

00:21:51.397 --> 00:21:52.058
Lisa, what do you got?

00:21:53.077 --> 00:21:54.459
I, just to expand on that,

00:21:54.499 --> 00:21:56.559
I think just from, as Kristen said,

00:21:56.619 --> 00:21:58.141
I'm into the ethics piece of it,

00:21:58.161 --> 00:22:00.162
just from an ethics lens,

00:22:00.201 --> 00:22:03.723
it's looking at it from a societal view.

00:22:04.184 --> 00:22:07.626
So as opposed to just a clinician or

00:22:07.747 --> 00:22:08.926
an organizational level,

00:22:09.087 --> 00:22:11.148
a lot of those parts of it are

00:22:11.548 --> 00:22:13.710
looking at society and how we can impact

00:22:13.769 --> 00:22:14.310
society.

00:22:14.351 --> 00:22:16.112
And I think that's a big part of,

00:22:16.892 --> 00:22:18.732
with the moral injury we're talking about

00:22:18.813 --> 00:22:19.394
too is,

00:22:20.054 --> 00:22:20.273
You know,

00:22:20.314 --> 00:22:21.875
there is we're going to talk about what

00:22:21.914 --> 00:22:23.214
you can do as an individual,

00:22:23.275 --> 00:22:25.957
how you can help yourself health as an

00:22:26.037 --> 00:22:26.636
individual.

00:22:26.676 --> 00:22:28.557
But also we're going to talk about,

00:22:28.577 --> 00:22:29.178
you know,

00:22:29.198 --> 00:22:31.719
moral communities and how you can develop

00:22:31.759 --> 00:22:32.259
those.

00:22:32.318 --> 00:22:34.259
And so you can help yourself, you know,

00:22:34.299 --> 00:22:36.300
get an organization or a group of people

00:22:36.320 --> 00:22:39.122
that are like minded and and share ideas

00:22:39.162 --> 00:22:40.403
and solutions and then.

00:22:41.522 --> 00:22:43.523
Hopefully that will translate into

00:22:43.984 --> 00:22:45.945
communities, into society,

00:22:46.885 --> 00:22:51.088
and being able to make bigger changes from

00:22:51.128 --> 00:22:55.192
the physical therapy profession at large.

00:22:55.211 --> 00:22:56.352
I'll just do some housekeeping.

00:22:56.613 --> 00:22:57.053
This talk,

00:22:57.073 --> 00:22:58.953
we're talking about the invisible wound,

00:22:58.973 --> 00:23:00.954
the unspoken consequences of moral injury

00:23:01.055 --> 00:23:02.516
on healthcare professionals following

00:23:02.536 --> 00:23:03.136
COVID-Nineteen.

00:23:03.854 --> 00:23:06.175
Thursday, the twelfth, eight a.m.,

00:23:06.836 --> 00:23:07.416
coming and hopping.

00:23:07.436 --> 00:23:08.798
If you're going east coast to west coast,

00:23:08.877 --> 00:23:10.259
you're still sleeping in, so that's good.

00:23:10.298 --> 00:23:11.038
I know it sounds like early,

00:23:11.058 --> 00:23:13.080
but you're not, okay?

00:23:13.500 --> 00:23:15.221
I have a crazy idea that was not

00:23:15.261 --> 00:23:16.663
on the docket before we hit record.

00:23:16.682 --> 00:23:18.964
What you got?

00:23:18.984 --> 00:23:19.965
So let me work backwards.

00:23:20.425 --> 00:23:22.426
Somewhere in our profession, well, sorry,

00:23:22.446 --> 00:23:23.528
let me go bigger first.

00:23:24.489 --> 00:23:25.970
I don't think many people now,

00:23:26.089 --> 00:23:27.111
maybe ten years ago,

00:23:27.810 --> 00:23:28.711
but not many people now,

00:23:28.971 --> 00:23:31.534
disagree with that we need to learn how

00:23:31.554 --> 00:23:32.494
to communicate better

00:23:33.717 --> 00:23:35.018
Because communication is power.

00:23:35.698 --> 00:23:36.659
I come to that because I have a

00:23:36.679 --> 00:23:37.519
degree in communications,

00:23:37.660 --> 00:23:38.339
so I have a hammer.

00:23:38.400 --> 00:23:39.300
The world is full of nails.

00:23:40.000 --> 00:23:40.961
I understand I have bias.

00:23:42.182 --> 00:23:43.303
I think if someone said,

00:23:43.644 --> 00:23:44.683
if there was going to be a special

00:23:44.723 --> 00:23:46.444
interest group about communications,

00:23:46.806 --> 00:23:48.886
not marketing, in my mind,

00:23:49.086 --> 00:23:50.407
marketing fits under communications,

00:23:52.148 --> 00:23:52.809
people would,

00:23:52.970 --> 00:23:54.391
their gut reaction would say,

00:23:54.871 --> 00:23:55.872
that's for PPS.

00:23:56.192 --> 00:23:57.353
And I would say, no.

00:23:57.492 --> 00:23:57.613
No.

00:23:59.784 --> 00:24:01.884
Every conversation is a negotiation for

00:24:01.944 --> 00:24:02.526
information.

00:24:03.046 --> 00:24:04.165
That's from a great book I read.

00:24:04.807 --> 00:24:06.688
I would say a special interest group

00:24:06.887 --> 00:24:09.890
focused on how to make people improve

00:24:09.910 --> 00:24:12.171
their communication skills would fit best

00:24:12.290 --> 00:24:13.632
in the Academy of Leadership Innovation.

00:24:14.311 --> 00:24:15.393
Probably not its own academy,

00:24:15.553 --> 00:24:16.673
but it would definitely be a special

00:24:16.732 --> 00:24:17.314
interest group.

00:24:18.074 --> 00:24:19.295
And how do you define a special interest

00:24:19.315 --> 00:24:19.515
group?

00:24:19.555 --> 00:24:19.914
For me,

00:24:19.934 --> 00:24:21.036
it's a bunch of people who are like,

00:24:22.236 --> 00:24:23.116
I have this problem.

00:24:24.647 --> 00:24:26.509
I either have the problem or the solution.

00:24:26.589 --> 00:24:27.430
I am someone who knows how to do

00:24:27.471 --> 00:24:28.371
this and does it a lot,

00:24:28.832 --> 00:24:30.493
or I am the opposite of that.

00:24:31.494 --> 00:24:32.796
And I think you do a good job.

00:24:32.875 --> 00:24:36.420
Leadership shouldn't fit anywhere.

00:24:36.460 --> 00:24:37.320
It should fit everywhere.

00:24:37.621 --> 00:24:38.481
Like LAMP,

00:24:38.781 --> 00:24:40.243
the program that Academy of Leadership and

00:24:40.284 --> 00:24:41.865
Innovation has, is not a vertical.

00:24:42.866 --> 00:24:43.768
It's a horizontal.

00:24:44.828 --> 00:24:45.950
Would you be a better...

00:24:46.710 --> 00:24:48.171
Do we need leaders in pediatrics?

00:24:48.451 --> 00:24:48.951
Well, yeah.

00:24:49.432 --> 00:24:50.913
Do we need leaders in aquatics?

00:24:50.973 --> 00:24:51.213
Yes.

00:24:51.233 --> 00:24:51.913
Do we need... Yeah.

00:24:52.013 --> 00:24:52.193
Okay.

00:24:52.214 --> 00:24:53.255
So that's not a vertical anymore.

00:24:53.275 --> 00:24:53.915
It's a horizontal.

00:24:54.455 --> 00:24:56.038
I think communications is the same thing.

00:24:56.958 --> 00:24:58.098
How do I pitch a SIG?

00:24:59.460 --> 00:25:00.500
I don't even know how that works.

00:25:00.520 --> 00:25:03.503
Oh, there's a form on the...

00:25:03.523 --> 00:25:04.003
I'm already out.

00:25:05.361 --> 00:25:10.826
Send me a voice memo of what you

00:25:10.865 --> 00:25:11.006
want.

00:25:11.086 --> 00:25:11.967
I'll do it for you.

00:25:12.166 --> 00:25:14.249
Can I make a video that's ninety seconds

00:25:14.288 --> 00:25:15.269
or less?

00:25:15.609 --> 00:25:16.891
Okay.

00:25:16.951 --> 00:25:18.393
Yeah, let's try it.

00:25:18.413 --> 00:25:18.792
Wait, wait, wait.

00:25:18.813 --> 00:25:20.835
Wouldn't that be innovative?

00:25:22.217 --> 00:25:23.397
communication and innovative.

00:25:23.417 --> 00:25:23.577
No, no, no.

00:25:23.597 --> 00:25:24.838
A video to pitch the SIG.

00:25:24.878 --> 00:25:25.179
But yeah,

00:25:25.398 --> 00:25:27.259
what I'll do is I'll make the video.

00:25:27.480 --> 00:25:29.121
I'll take the transcription of the video.

00:25:29.520 --> 00:25:31.261
I'll make AI write the form.

00:25:31.521 --> 00:25:31.721
Yeah.

00:25:31.762 --> 00:25:32.262
So I can do it.

00:25:32.303 --> 00:25:32.623
Nevermind.

00:25:32.702 --> 00:25:33.262
I can do the form.

00:25:33.663 --> 00:25:34.324
I won't do the form.

00:25:34.423 --> 00:25:35.284
Jarvis will do the form.

00:25:35.503 --> 00:25:36.085
I can do the form.

00:25:36.125 --> 00:25:36.384
Got it.

00:25:36.464 --> 00:25:36.545
Okay.

00:25:36.565 --> 00:25:38.185
I love that.

00:25:38.205 --> 00:25:39.666
That was a side piece because listen,

00:25:40.702 --> 00:25:41.463
I've said this before.

00:25:41.824 --> 00:25:42.564
You guys are going to be on the

00:25:42.584 --> 00:25:43.125
big stage.

00:25:43.625 --> 00:25:44.486
Lisa's first time.

00:25:44.766 --> 00:25:45.705
Chris is coming back.

00:25:46.567 --> 00:25:48.347
I think being on stage at CSM is

00:25:48.468 --> 00:25:49.068
important.

00:25:49.749 --> 00:25:51.289
The part that breaks my heart is,

00:25:51.630 --> 00:25:52.911
and I don't know when during the year,

00:25:52.931 --> 00:25:53.971
I can't remember when this happens,

00:25:54.011 --> 00:25:55.972
but when they start releasing who got a

00:25:56.012 --> 00:25:57.294
spot at CSM and who didn't,

00:25:58.394 --> 00:25:59.756
it's like soccer tryout day.

00:25:59.875 --> 00:26:00.955
And if people find out who was on

00:26:00.976 --> 00:26:03.438
the team and who didn't, I always push,

00:26:03.538 --> 00:26:05.439
push back with a communication lens that

00:26:05.499 --> 00:26:05.940
says,

00:26:07.560 --> 00:26:08.780
how many people do you think we're going

00:26:08.800 --> 00:26:09.402
to be in the room?

00:26:10.151 --> 00:26:12.071
A hundred, five hundred.

00:26:13.271 --> 00:26:14.093
That's a big room.

00:26:14.133 --> 00:26:15.212
Five hundred, a thousand.

00:26:15.313 --> 00:26:15.472
Right.

00:26:15.492 --> 00:26:16.733
That's a bigger presentation.

00:26:17.233 --> 00:26:19.694
I still think the most of the time

00:26:19.714 --> 00:26:21.756
people will take to social media and say,

00:26:22.036 --> 00:26:23.436
oh, you know, little sour.

00:26:23.616 --> 00:26:25.718
I didn't get in or hey, I'm disappointed.

00:26:25.738 --> 00:26:27.278
Didn't get in the thing that you're

00:26:27.298 --> 00:26:28.038
complaining on.

00:26:29.686 --> 00:26:31.749
you can reach more people with it than

00:26:31.788 --> 00:26:33.789
you could have in the room with CSM.

00:26:34.030 --> 00:26:35.932
So is it impact and reach or ego?

00:26:36.051 --> 00:26:37.292
It's okay if it's a mix of all

00:26:37.333 --> 00:26:37.634
of them.

00:26:37.653 --> 00:26:38.273
Yeah.

00:26:38.714 --> 00:26:40.276
I applied for things and not got it

00:26:40.316 --> 00:26:41.156
and been like, ah, man.

00:26:41.176 --> 00:26:43.337
Yeah.

00:26:43.357 --> 00:26:44.779
I will say you could still reach more

00:26:44.880 --> 00:26:46.721
people over longer amounts of time if you

00:26:46.800 --> 00:26:49.163
did your presentation on YouTube.

00:26:50.423 --> 00:26:51.065
Very true.

00:26:51.839 --> 00:26:52.641
That's the way I look at it.

00:26:52.921 --> 00:26:53.361
I get it.

00:26:53.402 --> 00:26:54.241
Being in the room is fun.

00:26:54.321 --> 00:26:55.123
I like being in the room,

00:26:55.343 --> 00:26:56.443
but that's not the only way.

00:26:56.605 --> 00:26:58.906
That would be my first lesson in my

00:26:58.967 --> 00:27:00.587
special interest group in the Academy of

00:27:00.627 --> 00:27:01.388
Leadership Innovation,

00:27:01.409 --> 00:27:02.089
the special interest group of

00:27:02.109 --> 00:27:02.650
communications.

00:27:02.670 --> 00:27:05.011
I love that.

00:27:05.133 --> 00:27:06.294
I can't wait for you to pitch it.

00:27:06.314 --> 00:27:06.574
All right.

00:27:06.594 --> 00:27:07.694
Give me a future state.

00:27:08.256 --> 00:27:09.557
Someone walks out of the room at your

00:27:09.596 --> 00:27:12.078
presentation after this.

00:27:12.920 --> 00:27:14.101
What have they become?

00:27:14.141 --> 00:27:14.882
What have they learned more?

00:27:14.922 --> 00:27:15.942
What are they able to do?

00:27:17.204 --> 00:27:18.484
I love this question.

00:27:18.525 --> 00:27:18.704
Lisa,

00:27:18.724 --> 00:27:20.046
do you want to talk about our current

00:27:20.105 --> 00:27:20.705
initiatives?

00:27:21.766 --> 00:27:24.787
I'll let you start and then I will

00:27:24.826 --> 00:27:26.428
tag in because I know she is like

00:27:26.468 --> 00:27:28.548
the engine for this.

00:27:28.728 --> 00:27:31.169
So she is on it.

00:27:31.209 --> 00:27:32.709
She just keeps us moving.

00:27:32.749 --> 00:27:35.490
So I'll let her start and I'll add

00:27:35.509 --> 00:27:35.789
in.

00:27:35.890 --> 00:27:36.309
OK.

00:27:37.069 --> 00:27:39.070
So when Lisa and I gave this talk,

00:27:39.570 --> 00:27:40.990
this created so much buzz.

00:27:41.010 --> 00:27:42.612
We actually created a special interest

00:27:42.652 --> 00:27:45.373
group or a committee, actually.

00:27:45.393 --> 00:27:46.532
It's a committee, not even a SIG.

00:27:47.382 --> 00:27:48.342
Within the OPTA,

00:27:48.402 --> 00:27:50.002
so it is the Wellness Committee.

00:27:50.663 --> 00:27:53.523
And we have been working diligently.

00:27:53.584 --> 00:27:56.404
We actually completed our IRB submission

00:27:56.585 --> 00:28:00.445
yesterday for we're looking at provider

00:28:00.506 --> 00:28:02.586
wellness and professional sustainability.

00:28:02.665 --> 00:28:04.707
So we are exploring a national survey.

00:28:05.007 --> 00:28:05.727
So look for that.

00:28:05.767 --> 00:28:07.188
That will actually also be in our

00:28:07.228 --> 00:28:09.827
presentation in a little QR to go and

00:28:09.887 --> 00:28:10.248
take that.

00:28:10.508 --> 00:28:11.469
But we're exploring this.

00:28:11.489 --> 00:28:12.368
We're doing research.

00:28:12.796 --> 00:28:13.936
Our group is growing.

00:28:13.957 --> 00:28:14.997
We're going to have wellness Wednesdays.

00:28:15.017 --> 00:28:17.618
We're going to have a wellness summit.

00:28:18.099 --> 00:28:20.240
And I'm actually today putting together

00:28:20.320 --> 00:28:22.221
for a catalyst group in the Academy of

00:28:22.241 --> 00:28:23.343
Leadership and Innovation,

00:28:24.042 --> 00:28:27.065
a provider wellness and professional

00:28:27.105 --> 00:28:29.686
sustainability application to create a

00:28:29.707 --> 00:28:31.508
catalyst group to keep this going

00:28:32.288 --> 00:28:34.690
nationally so we can keep going.

00:28:35.790 --> 00:28:38.373
We have people from all across the US

00:28:38.413 --> 00:28:40.034
who are doing these things in silos.

00:28:40.390 --> 00:28:41.891
and we need to bring ourselves together.

00:28:42.171 --> 00:28:45.032
So Lisa Flexner has a company, you know,

00:28:45.493 --> 00:28:48.115
on the west coast that works at corporate

00:28:48.175 --> 00:28:52.358
trying to put more professional wellness

00:28:52.378 --> 00:28:54.901
stuff into their business structure to

00:28:54.980 --> 00:28:57.201
keep their employees happy and healthy.

00:28:57.602 --> 00:28:59.263
You have individuals like my home who

00:28:59.304 --> 00:28:59.784
trained,

00:28:59.844 --> 00:29:03.125
she's doing an individual consultation for

00:29:03.186 --> 00:29:05.188
providers who have burnout and trying to

00:29:05.208 --> 00:29:06.288
help restore their wellness.

00:29:06.528 --> 00:29:08.609
We have so many pockets of people across

00:29:08.630 --> 00:29:09.151
the US

00:29:09.582 --> 00:29:10.001
doing this,

00:29:10.061 --> 00:29:12.584
we need to combine forces and just push.

00:29:12.604 --> 00:29:13.845
They need to be able to connect.

00:29:15.645 --> 00:29:15.746
Yes.

00:29:15.766 --> 00:29:16.185
Give them a home.

00:29:16.205 --> 00:29:16.666
They'll come.

00:29:17.106 --> 00:29:18.788
They need to be able to communicate over

00:29:18.827 --> 00:29:20.890
distance and time.

00:29:20.910 --> 00:29:21.549
Lisa, what would you add?

00:29:22.272 --> 00:29:24.634
So I think the big thing is looking

00:29:24.674 --> 00:29:26.736
at that moral community piece and being

00:29:26.776 --> 00:29:29.438
able to grow that and have under that,

00:29:29.518 --> 00:29:29.718
well,

00:29:29.917 --> 00:29:31.858
I see the wellness committee as a huge

00:29:31.960 --> 00:29:32.619
umbrella.

00:29:33.220 --> 00:29:34.500
And then under that,

00:29:34.540 --> 00:29:37.163
you have all these other communities where

00:29:37.542 --> 00:29:39.364
people that are struggling with

00:29:39.765 --> 00:29:41.346
productivity standards within their

00:29:41.405 --> 00:29:43.426
organizations, different organizations,

00:29:43.487 --> 00:29:46.489
and how does that look?

00:29:46.548 --> 00:29:49.830
People that do need to talk about burnout

00:29:49.871 --> 00:29:51.613
or the people that want those wellness,

00:29:53.073 --> 00:29:53.493
areas.

00:29:53.534 --> 00:29:55.434
And so I feel like the, you know,

00:29:55.974 --> 00:29:57.556
the wellness is going to be a huge

00:29:57.615 --> 00:30:00.797
umbrella where we can then go down into

00:30:00.916 --> 00:30:02.137
all the different, like, you know,

00:30:02.157 --> 00:30:03.558
financial loans,

00:30:03.598 --> 00:30:06.400
how that's impacting students and how do

00:30:06.440 --> 00:30:08.181
we keep people in the profession and,

00:30:08.320 --> 00:30:10.241
you know, looking at physical, mental,

00:30:10.821 --> 00:30:12.282
spiritual, financial,

00:30:12.423 --> 00:30:16.005
all those dimensions of wellness.

00:30:16.384 --> 00:30:16.605
Yeah.

00:30:16.704 --> 00:30:18.125
Digital rest, Demi.

00:30:18.286 --> 00:30:18.586
Yes.

00:30:19.066 --> 00:30:19.686
Yes.

00:30:19.767 --> 00:30:20.086
Mm-hmm.

00:30:21.586 --> 00:30:21.707
Yeah,

00:30:21.727 --> 00:30:22.707
you got to check out of this thing

00:30:22.788 --> 00:30:23.788
once in a while.

00:30:23.928 --> 00:30:25.108
Yeah.

00:30:25.189 --> 00:30:25.888
Yeah.

00:30:25.909 --> 00:30:26.989
And it's just, I mean,

00:30:27.789 --> 00:30:29.130
we have never as a profession,

00:30:29.150 --> 00:30:31.810
all of our literature really focuses on

00:30:31.851 --> 00:30:32.571
the patient.

00:30:32.991 --> 00:30:35.032
Not much have we ever turned the lens

00:30:35.133 --> 00:30:37.433
inward and focused on ourselves.

00:30:39.334 --> 00:30:39.914
It's time.

00:30:40.275 --> 00:30:40.674
It's time.

00:30:40.714 --> 00:30:42.096
People have been laying the groundwork for

00:30:42.115 --> 00:30:42.516
a while,

00:30:42.536 --> 00:30:44.416
but we really need to do it now.

00:30:45.116 --> 00:30:45.896
Okay.

00:30:45.977 --> 00:30:47.458
Anything I didn't ask that you wanted to

00:30:47.478 --> 00:30:48.137
be able to talk about?

00:30:48.178 --> 00:30:49.519
Anything I didn't open the door for you

00:30:49.558 --> 00:30:50.078
to walk through?

00:30:52.397 --> 00:30:55.585
We're just excited to educate people on

00:30:55.605 --> 00:30:55.805
this.

00:30:55.846 --> 00:30:57.308
I think it's so critical.

00:30:58.338 --> 00:30:59.299
Agreed.

00:30:59.319 --> 00:30:59.680
All right.

00:30:59.700 --> 00:31:00.400
And I think, yeah,

00:31:00.420 --> 00:31:01.641
I think that's a big thing is we

00:31:01.661 --> 00:31:05.163
want to start the momentum that hopefully

00:31:05.742 --> 00:31:07.403
we can get, you know, this,

00:31:07.564 --> 00:31:08.845
cause I know like the,

00:31:08.984 --> 00:31:10.905
from a board perspective,

00:31:11.006 --> 00:31:13.027
only Ohio and I believe it's Illinois have

00:31:13.047 --> 00:31:14.468
like the safe Haven program.

00:31:14.508 --> 00:31:15.607
And so, you know,

00:31:15.647 --> 00:31:18.710
being able to help all the other state

00:31:19.009 --> 00:31:21.791
associations and just the APTA in general,

00:31:22.251 --> 00:31:23.913
you know,

00:31:23.952 --> 00:31:25.433
put a focus on this and to help

00:31:25.493 --> 00:31:26.074
it grow.

00:31:27.164 --> 00:31:27.424
Love it.

00:31:27.525 --> 00:31:27.746
All right.

00:31:27.786 --> 00:31:28.906
Well, we have a rule.

00:31:29.307 --> 00:31:30.429
Every time we do an episode,

00:31:31.450 --> 00:31:32.351
it's called the parting shot.

00:31:33.471 --> 00:31:35.513
This is the parting shot.

00:31:36.035 --> 00:31:37.435
One last mic drop moment.

00:31:38.116 --> 00:31:38.917
No pressure.

00:31:39.358 --> 00:31:41.480
Just your legacy on the line.

00:31:43.086 --> 00:31:43.425
All right.

00:31:43.826 --> 00:31:45.247
Parting shot brought to you by U.S.

00:31:45.287 --> 00:31:46.028
Physical Therapy,

00:31:46.048 --> 00:31:48.808
a nationwide network of clinics focused on

00:31:48.848 --> 00:31:51.589
developing clinicians and not burning them

00:31:51.670 --> 00:31:51.830
out.

00:31:51.871 --> 00:31:52.530
Look at this.

00:31:52.810 --> 00:31:53.590
It's an alignment.

00:31:54.271 --> 00:31:55.673
Leadership tracks, mentorship,

00:31:55.692 --> 00:31:56.353
career growth,

00:31:56.393 --> 00:31:57.794
and the stability to build your future

00:31:57.894 --> 00:31:58.394
NPT.

00:31:58.874 --> 00:32:00.595
If you want a place that supports how

00:32:00.634 --> 00:32:02.056
you want to practice, that's U.S.

00:32:02.195 --> 00:32:02.915
Physical Therapy.

00:32:02.955 --> 00:32:04.957
Visit usph.com.

00:32:04.977 --> 00:32:06.758
That is usph.com.

00:32:07.219 --> 00:32:09.519
Who would like to take their parting shot

00:32:09.579 --> 00:32:09.900
first?

00:32:12.756 --> 00:32:16.578
Go Lisa.

00:32:16.699 --> 00:32:18.901
Oh, so I would just say, join us.

00:32:19.020 --> 00:32:20.722
I know it's bright and early first thing

00:32:20.903 --> 00:32:21.782
on Thursday morning,

00:32:21.824 --> 00:32:24.605
the first session of CSM,

00:32:24.645 --> 00:32:26.106
but we will keep you awake.

00:32:26.788 --> 00:32:28.769
We will have great conversations and

00:32:28.929 --> 00:32:31.030
hopefully give you many different

00:32:31.070 --> 00:32:33.333
interventions for yourself and your

00:32:33.413 --> 00:32:38.096
organization to thrive in the future.

00:32:38.116 --> 00:32:39.018
All right, Kristen, no pressure.

00:32:40.964 --> 00:32:42.586
Okay.

00:32:42.605 --> 00:32:44.405
I would say we really need to meet

00:32:44.445 --> 00:32:47.105
each other on the human level and really

00:32:47.145 --> 00:32:49.926
care for ourselves and those around us.

00:32:50.126 --> 00:32:52.667
We get lost behind our identity as a

00:32:52.708 --> 00:32:54.587
physical therapist or a physical therapist

00:32:54.627 --> 00:32:56.268
assistant or a student,

00:32:56.307 --> 00:32:59.588
but you are a person first and you

00:32:59.628 --> 00:33:01.929
deserve to be well and show up well

00:33:02.328 --> 00:33:05.109
to your workplace and enjoy your life.

00:33:06.311 --> 00:33:07.732
I'll put it in the show notes as

00:33:07.792 --> 00:33:08.053
well.

00:33:08.133 --> 00:33:10.034
But this talk is on the twelfth at

00:33:10.114 --> 00:33:10.513
eight a.m.

00:33:10.554 --> 00:33:11.535
Invisible wound.

00:33:12.596 --> 00:33:13.976
Kristen, you mentioned two other talks.

00:33:13.996 --> 00:33:14.696
You've got that.

00:33:14.916 --> 00:33:18.078
I cannot skip over the fact that you,

00:33:18.179 --> 00:33:19.118
I think, nailed the name.

00:33:19.679 --> 00:33:20.920
You're giving a presentation on Friday,

00:33:20.960 --> 00:33:21.881
February thirteenth,

00:33:21.921 --> 00:33:22.740
Friday the thirteenth.

00:33:23.020 --> 00:33:23.500
Good luck with that.

00:33:23.560 --> 00:33:23.862
Eight a.m.

00:33:24.162 --> 00:33:26.423
What's the deal with pickleball,

00:33:26.843 --> 00:33:29.204
the bread and butter of America's fastest

00:33:29.244 --> 00:33:29.904
growing sport?

00:33:30.164 --> 00:33:31.546
I hope people understand that.

00:33:32.066 --> 00:33:34.087
Bread and butter is a type of pickle,

00:33:34.268 --> 00:33:35.268
so it's not like you... Yeah,

00:33:35.288 --> 00:33:36.249
that's my favorite type of pickle.

00:33:36.308 --> 00:33:36.869
I spotted that.

00:33:37.269 --> 00:33:38.510
And your other talk is going to be

00:33:38.590 --> 00:33:40.192
on Thursday, the twelfth, two o'clock.

00:33:40.652 --> 00:33:43.473
And this is LAMP Leadership TED Style TED

00:33:43.513 --> 00:33:43.894
Talks.

00:33:44.434 --> 00:33:46.155
Shared lessons on leading within and

00:33:46.195 --> 00:33:46.856
leading others.

00:33:46.876 --> 00:33:49.178
That's another event being put on by APTA,

00:33:49.397 --> 00:33:50.519
Academy of Leadership Innovation.

00:33:50.538 --> 00:33:53.540
That's several people speaking during that

00:33:53.621 --> 00:33:54.382
ninety minute session.

00:33:54.422 --> 00:33:56.063
Again, TED style talks.

00:33:56.343 --> 00:33:58.125
And you can find this all at APTA's

00:33:59.305 --> 00:33:59.486
app.

00:34:00.165 --> 00:34:03.127
You can find that at their website under

00:34:03.167 --> 00:34:03.669
programming.

00:34:03.689 --> 00:34:04.788
You can search by academy,

00:34:04.808 --> 00:34:05.829
you can search by speaker,

00:34:06.170 --> 00:34:07.030
or you can just start looking for

00:34:07.070 --> 00:34:07.652
keywords.

00:34:08.572 --> 00:34:09.452
There's three types of people in the

00:34:09.472 --> 00:34:09.713
world.

00:34:09.913 --> 00:34:11.514
People who already know what they're going

00:34:11.554 --> 00:34:13.135
to at CSM a month before,

00:34:13.436 --> 00:34:14.536
as we're recording this in January.

00:34:15.077 --> 00:34:16.777
People who figure it out on the plane.

00:34:18.438 --> 00:34:19.440
Or people who are like, oh,

00:34:19.460 --> 00:34:20.121
there's a session?

00:34:20.820 --> 00:34:21.922
Let me walk down this hallway.

00:34:22.141 --> 00:34:23.023
Doesn't matter who you are,

00:34:23.583 --> 00:34:26.164
but CSM roulette,

00:34:27.884 --> 00:34:28.425
Can't be a gamble.

00:34:29.126 --> 00:34:30.289
Ladies, thanks for doing what you do.

00:34:30.590 --> 00:34:31.751
We'll see you in LA.

00:34:32.213 --> 00:34:34.297
And thanks for coming on the show.

00:34:34.356 --> 00:34:35.960
Thank you.

00:34:37.815 --> 00:34:38.876
That's it for this one,

00:34:39.177 --> 00:34:40.858
but we're just getting warmed up.

00:34:41.318 --> 00:34:43.219
Smash follow, send it to a friend,

00:34:43.440 --> 00:34:45.101
or crank up the next episode.

00:34:45.621 --> 00:34:46.682
Want to go deeper?

00:34:46.782 --> 00:34:49.125
Hit us at pgpinecast.com.

00:34:50.364 --> 00:34:52.367
Or find us on YouTube and socials at

00:34:52.387 --> 00:34:53.608
pgpinecast.

00:34:54.027 --> 00:34:56.329
And legally, none of this was advice.

00:34:56.389 --> 00:34:58.090
It's for entertainment purposes only.

00:34:59.793 --> 00:35:00.373
See, Keith?

00:35:00.592 --> 00:35:01.653
We read the script.

00:35:01.954 --> 00:35:02.614
Happy now?